Individual
CHARLES V INES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3160 N STATE HIGHWAY 97, SAND SPRINGS, OK 74063-8336
(918) 236-9411
(918) 600-1661
Mailing address
3160 N STATE HIGHWAY 97, SAND SPRINGS, OK 74063-8336
(918) 236-9411
(918) 600-1661
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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